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目的通过对5岁以下儿童死亡原因分析,探索有效的策略和干预措施,降低5岁以下儿童死亡率。方法对蚌埠市第一人民医院2008年1月-2012年12月报告的190例5岁以下儿童死亡监测资料进行整理、汇总和回顾分析。结果 190例5岁以下儿童死亡原因前3位依次是:早产和低出生体重(35例)、呼吸系统疾病(32例)、出生窒息(24例)。新生儿组死亡构成比明显高于其他3组(P<0.01),提示年龄越小儿童死亡率越高;在28 d~5岁儿童死因中,意外死亡排在首位;城镇儿童与农村儿童死前接受医疗服务情况基本一致(P>0.05)。结论只有家庭、医疗保健机构和社会各部门共同努力,才能保证儿童健康成长。
Objective To explore effective strategies and interventions to reduce the mortality rate of children under 5 by analyzing the causes of death among children under 5 years of age. Methods A total of 190 cases of death under 5 years old reported by the First People’s Hospital of Bengbu from January 2008 to December 2012 were collected, summarized and retrospectively analyzed. Results Among the 190 children under 5 years of age, the top three causes of death were premature birth and low birth weight (35 cases), respiratory diseases (32 cases) and birth asphyxia (24 cases). The neonatal mortality rate was significantly higher than the other three groups (P <0.01), suggesting that the younger children, the higher the mortality rate; in the 28 d ~ 5-year-old children died of accidents ranked first in accidents; urban children and rural children died Medical services before the situation is basically the same (P> 0.05). Conclusion Only family, health care institutions and various social departments work together to ensure the healthy growth of children.